| NPI | 1598108185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 286211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS14133) |
| 208M00000X Hospitalist (Licence: IL 143357) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-01-14 |